Ambulatory Electronic Medical Record and Shared Access

描述（由申请人提供）：该项目将在伊利诺斯州中东部医疗服务不足的地区，在多个不同的医疗保健环境中实施流动电子病历（EMR）。 莎拉布什林肯健康中心（SBLHC），一个非营利的社区医疗保健公司，将作为财政代理和领导组织的合作伙伴关系，以部署一个流动的电子病历，提高病人的安全和病人对健康信息技术（HIT）的态度，1）提供共享访问病人的记录在医院服务，家庭健康，临终关怀，和就业和独立的医生实践设置和2）整合电子工具的处方订单和药物管理。 项目伙伴包括两个私人执业组织，K.A. Feelbacher，医学博士，有限公司、（家庭实践）和泌尿科协会（罗杰·里夫斯，医学博士，和大卫D. DiDomenico，医学博士，D. O.）;以及东伊利诺伊大学（EIU）的卫生服务部，这是一所地区性的住宿大学，目前总入学人数为11，522人。 项目评估将监测供应商访问和使用HIT的可衡量的改进，通过使用电子处方实现的患者安全，以及患者对HIT态度的变化。 项目相关性：该项目将导致社区医疗保健信息利用的三个重大变化：1）及时提供患者药物和已知过敏的综合列表，2）利用更好的工具来改进临床图表，以及3）在多个设置中整合一致的记录。

DESCRIPTION (provided by the applicant): This project will implement an ambulatory electronic medical record (EMR) across multiple and varied health care settings in a medically underserved region of east central Illinois. Sarah Bush Lincoln Health Center (SBLHC), a not-for-profit community health care corporation, will serve as the fiscal agent and lead organization for a collaborative partnership to deploy an ambulatory EMR which improves patient safety and patient attitudes toward health information technology (HIT) by 1) providing shared access to patient records across hospital services, home health, hospice, and employed and independent physician practice settings and 2) integrating electronic tools for prescription orders and management of medications. Project partners include two private practice organizations, K.A. Fehrenbacher, M.D., Ltd., (family practice) and Urology Associates (urology practice of Roger Rives, M.D., and David D. DiDomenico, M.D., D.O.); and the Health Services Division of Eastern Illinois University (EIU), a regional, residential university with a current total enrollment of 11,522. Project evaluation will monitor measurable improvements in provider access and utilization of HIT, patient safety realized through the utilization of electronic prescriptions, and change in patient attitudes toward HIT. Project relevance: The project will lead to three significant changes in the utilization of health care information in the community: 1) timely availability of a comprehensive list of the patient's medications and known allergies, 2) utilization of better tools for improved clinical charting, and 3) integration of a consistent record across multiple settings.